The Impact of Text Messaging on Medication Adherence and Exercise Regimen Among Post-myocardial Infarction Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Myocardial Infarction
- Sponsor
- Brigham and Women's Hospital
- Enrollment
- 84
- Primary Endpoint
- Medication adherence
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
The purpose of this study is to assess the impact of text message reminders on adherence to medications and exercise in patients recently discharged from the hospital after a myocardial infarction (MI).
Detailed Description
The Impact of Text Messaging on Medication Adherence and Exercise Regimen among Post-Myocardial Infarction Patients includes two single-center randomized control trials to assess the impact of text message reminds on adherence to medications and exercise regimen in patients recently discharged from the hospital after MI. Recruitment conducted at Cambridge Cardiac Rehabilitation in Ontario, Canada for both the medication adherence and exercise trial. Potential study subjects are evaluated for inclusion and exclusion criteria, give written informed consent, and are randomized, in a 1:1 ratio, to either intervention or usual care (control). Patients randomized to the intervention arm in the medication adherence trial receive an automated text message once per day at the time they are prescribed to take their medication. The text message does not contain any personal or pharmacological information. Patients randomized to the intervention arm in the exercise adherence trial receive four text messages per day at 7:30 am, 12:00 pm, 6:00 pm, and 9:00 pm, reminding them to exercise for 30 minutes per day as per their health care provider.
Investigators
Niteesh K. Choudhry, MD, PhD
Associate Professor of Medicine at Harvard Medical School, Associate Physician in the Division of Pharmacoepidemiology and Pharmacoeconomics and the Hospitalist Program at Brigham and Women's Hospital
Brigham and Women's Hospital
Eligibility Criteria
Inclusion Criteria
- •Post-MI hospital discharge within 2 weeks
- •Enrolled in cardiac rehabilitation
- •Prescribed anti-platelets, beta-blockers, ACE-inhibitors or ARBs, and/or statins on 1x/day regimen (for medication adherence trial)
- •Prescribed exercise regimen (for exercise trial)
- •Ability to read and write English
- •Possession of a cell phone with text messaging capability
Exclusion Criteria
- •Age \< 18
- •Incarcerated individuals
- •Unable to read and write English
- •Not in possession of a cell phone
- •Patients prescribed medication regimen \> 1x/day
Outcomes
Primary Outcomes
Medication adherence
Time Frame: 12 months
Average medication adherence over 12 months after randomization, assessed with self-reported logs
Exercise frequency
Time Frame: 12 months
Average frequency of exercise over 12 months after randomization, assessed with self-reported logs
Secondary Outcomes
- Exercise duration(12 months)
- Full medication adherence(12 months)